Gevon Finklea
Individual provider Active NPI Mental Health Counselor · Coyle, OK
NPI 1073746327 · NPPES record last updated Sep 2, 2009
Key facts
- NPI
- 1073746327
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 510 E Lee St
Coyle, OK 73027-9200 - Phone
- (619) 957-4050
- NPI assigned
- Sep 2, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
510 E Lee St
Coyle, OK 73027-9200
Mailing address
510 E Lee St
Coyle, OK 73027-9200
Phone (619) 957-4050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S081739743 | Medicaid | OK |
Other providers in Coyle, OK
- Coyle School
- Coyle School District No I-14
- Shannon Deer
- Michael Sean Fouquet
- Yasmin Michelle Jackson
- Quinton S Morgan
- Cathy Morton
- Joshua Robertson
All providers in Coyle, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.